MEDICARE: ATLAS MEDICAL EQUIPMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1326980699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	14901 CORDELL AVE
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-1911
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14901 CORDELL AVE
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22193-1911
Country	:	US
Telephone Number	:	612-226-0934
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	JOAN DAMULIRA
Credential	:	RN
Telephone Number	:	804-536-7960

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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